A laparoscopic approach to Nuck’s duct endometriosis  

Oleh:

Jimenez, Jesus S. ; Barbero, Patricia ; Tejerizo, Alvaro ; Guillen, Carmen ; Strate, Carol

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 96 no. 02 (Aug. 2011), page e103-e105.
Topik: Endometriosis; uncommon location; Nuck’s duct; inguinal; laparoscopic

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2011.04 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Objective To report a case of uncommon endometriosis located in the Nuck’s duct and its laparoscopic resolution. Design Case report. Setting Gynecologic department at 12 de Octubre University Hospital, Madrid. Patient(s) A 35-year-old woman, gravida 1 para 1, presented with an inguinal right mass. She had a right nephrectomy because of acute pyelonephritis. Computed tomography showed a cystic lesion that was suggestive of a Nuck’s duct cyst. Fine-needle aspiration cytology was performed, and endometriosis was determined. Intervention(s) Cyst removal and closure of the internal inguinal ring’s defect by the laparoscopic approach. Main Outcome Measure(s) Disease free. Result(s) The intervention was successfully performed by laparoscopic approach. The postoperative evolution was good, and the patient was discharged 2 days after surgery. Conclusion(s) Inguinal or Nuck’s duct are both uncommon locations for endometriosis; therefore, it is difficult to suspect in patients without a surgical history. Once identified, the treatment involves removal of the endometrioma and repair of the internal inguinal ring. A laparoscopic approach should be considered when possible.

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